Individual
MS. ELIZABETH ANNE HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-7349
Mailing address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-7349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3015
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202858194
202858194
KS
Enumeration date
05/20/2013
Last updated
05/20/2013
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